MARK ALAN DE-PEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060200

License Status

NOT RENEWED

Business

First Name

MARK ALAN

Last Name

DE-PEW

Business Name

MARK ALAN DE-PEW

Original Issue Date

09/07/1973

Effective Date

09/07/1973

Expiration Date

01/01/1997

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005